JPRAS Open最新文献_第2页

IF 1.5 Q3 SURGERY

JPRAS Open

Pub Date : 2025-01-10 DOI: 10.1016/j.jpra.2025.01.008

Phung Le Thi Kim , Leonora Collantes , Phuong Lam Hoai , An Phan Huynh , Nghia Le Trung , Tu Nguyen Thanh , Anh Nguyen Viet , Kieu Nguyen Thi Thanh , Truc Pham Thanh Luu , Phi Duong Nguyen

Introduction

Cleft lip and palate (CLP) is one of the most common congenital anomalies worldwide, affecting approximately 2,000 children annually in Vietnam. Parental caregivers, particularly mothers, face considerable challenges in managing complex treatment pathways and addressing their children's multifaceted needs. This often leads to increased stress and decline in the quality of life (QoL). This study aimed to explore the relationship between disease-related knowledge, stress, and QoL among caregivers of children with CLP in Ho Chi Minh City.

Materials and Methods

A descriptive-correlational design was used with a purposive sample of 235 parental caregivers from an Odonto-Stomatology Hospital in Ho Chi Minh City, Vietnam. Data were collected using three validated instruments: the Disease-Related Knowledge Scale, Stress Scale for Parents of Children with CLP, and WHOQOL-BREF. Descriptive statistics were used to summarize the data; Pearson's correlation coefficient and multiple linear regression were used to examine the relationships between knowledge, stress, and QoL.

Results

Caregivers had moderately good disease-related knowledge (M=3.66, SD=0.39), with the highest scores in information provision (M=3.90, SD=0.43). Stress levels were moderately low (M=3.46, SD=0.44), with resource deficiencies being the most significant stressor. Although the caregivers reported good overall QoL (M=3.97, SD=0.47), psychological health scored lower (M=3.45, SD=0.84). A significant positive correlation was found between knowledge and stress (r=0.421, p<0.001), but no significant correlation was observed between knowledge and QoL (r=-0.033, p=0.619).

Conclusion

Greater disease-related knowledge correlated with increased stress, yet it did not directly improve QoL. These findings emphasize the need for comprehensive support, including education and psychosocial interventions, to reduce stress and enhance the well-being of parental caregivers.

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引用次数: 0

Reconstruction of radiation-induced damage in patients with facial hemangiomas using free anterolateral thigh flap

IF 1.5 Q3 SURGERY

JPRAS Open

Pub Date : 2025-01-10 DOI: 10.1016/j.jpra.2025.01.007

Trần Thiết Sơn , Phan Tuấn Nghĩa , Nguyễn Hữu Trọng , Phạm Thị Việt Dung , Tạ Thị Hồng Thuý , Christopher Runyan

Objective

Radiation therapy to treat hemangiomas is an old method that is no longer used due to its severe side effects. However, in Vietnam, radiotherapy has long been used to treat infantile hemangiomas, which has led to severe sequelae in adulthood. This article shares our experience in reconstructing the sequelae of radiation therapy for facial hemangioma using free anterolateral thigh (ALT) flap.

Materials and methods

Six patients underwent facial lesion reconstruction using different ALT flaps, including volume augmentation, fascial, and thinning flaps.

Results

The largest flap used was 20 × 8 cm² and the smallest flap was 11 × 6 cm². All flaps survived completely and no post-operative complications were noted. The patients were highly satisfied with the surgical outcomes, and the aesthetics of the flap were also excellent, with the flap being similar in color to the facial skin.

Conclusion

The ALT flap has several advantages, including flexibility in use, diversity in flap components, and minimal impact on the donor site, making it increasingly popular and effective.

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引用次数: 0

Comparison of clinician- and patient-reported outcome measures in 95 abdominoplasty cases using BODY-Q and MCCRO-Q

IF 1.5 Q3 SURGERY

JPRAS Open

Pub Date : 2025-01-10 DOI: 10.1016/j.jpra.2025.01.004

Samuel Thomas Kitching , Claudia Rocco , Rachel Harwood , Gary Ross

Patient-reported outcome measures (PROMs) and clinician-reported outcome measures (CROMs) are not routinely compared and they could be used to assess outcomes and aid patient selection and informed consent.

Between July 2016 and February 2020, we performed a cohort study comparing PROM versus CROM scores in 95 abdominoplasty cases with all patients undergoing psychological assessment using the Royal Free Hospital and Centre for Appearance Research (RoFCAR) screening tool.

Patients and clinicians described significantly improved outcomes from an abdominoplasty procedure (p<0.001; p<0.001), and patients also derived psychological benefits with improved RoFCAR scores (p<0.001). Patients reported a significantly greater improvement between pre- and post-operative outcomes as compared to the clinicians (p=0.017). Clinicians reported worse outcomes in patients with body mass index >30 kg/m² or patients who had >1000 g of excess fat tissue removed (p=0.005; p=0.017). Clinicians reported better outcomes in patients who achieved massive weight loss through diet and exercise as opposed to bariatric surgery (p=0.044). Patients who underwent concomitant surgical operation had significantly improved clinician-scored outcomes (p=0.047), and patients with post-operative complications achieved worse clinician-scored outcomes (p=0.036). Pre-operative and post-operative scarring, previous pregnancy, and age >50 years did not affect clinician-scored outcomes. None of the tested factors significantly affected how the patients scored these outcomes.

We demonstrated that clinicians underestimate the improvement in outcomes described by the patients and they need to be aware of their selection bias when consulting with patients preoperatively, as patients reported improvement regardless of the pre-operative or post-operative variable tested.

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引用次数: 0

Topical Tranexamic Acid and Chest Masculinization Surgeries—Impact on Postoperative Hematoma Incidence

IF 1.5 Q3 SURGERY

JPRAS Open

Pub Date : 2025-01-10 DOI: 10.1016/j.jpra.2025.01.002

Krisztina Sipos , Katriina Joensuu , Susanna Kauhanen , Kaisu Ojala

Introduction

Postoperative hematoma requiring intervention occurs more frequently in chest masculinization surgeries than in other types of breast surgeries, with incidences ranging from 0.7% to 13.2% per patient. Although there is increasing evidence that topically applied tranexamic acid (TXA) effectively reduces postoperative bleeding in breast surgeries, its impact on masculinization surgeries is understudied.

Aims

Examining the significance of topical TXA in reducing postoperative hematoma in chest masculinization surgeries.

Methods

This retrospective cohort comprises female-to-male transgender and non-binary patients who underwent chest masculinization at Helsinki or Tampere University hospitals between 2018 and 2024. Topical TXA (20 mg/ml, 25 ml per breast) was incorporated into routine use in October 2022, replacing the previous practices; Helsinki mainly operated without TXA, whereas Tampere routinely used intravenous (i.v.) TXA.

Results

A total of 198 patients undergoing chest masculinization surgery were included. Among them, 9 (4.5%) major hematomas occurred. The need for reoperation due to postoperative hematoma was lower in the topical TXA (3.2%, 2 out of 63 patients) and i.v. TXA (3.4%, 2 out of 58 patients) groups compared to the non-TXA group (6.5%, 5 out of 77 patients). Subpectoral incisions (71.2%, 141 patients) resulted in a 5.0% hematoma rate, whereas periareolar incisions (28.8%, 57 cases) had a 3.5% hematoma rate.

Conclusions

Our study suggests that topical and i.v. TXA effectively reduce postoperative bleeding in chest masculinization surgeries, with similar outcomes between the 2 methods. Albeit our results lack statistical significance and they support the potential benefit of prophylactic TXA use in hematoma reduction.

{"title":"Topical Tranexamic Acid and Chest Masculinization Surgeries—Impact on Postoperative Hematoma Incidence","authors":"Krisztina Sipos , Katriina Joensuu , Susanna Kauhanen , Kaisu Ojala","doi":"10.1016/j.jpra.2025.01.002","DOIUrl":"10.1016/j.jpra.2025.01.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Postoperative hematoma requiring intervention occurs more frequently in chest masculinization surgeries than in other types of breast surgeries, with incidences ranging from 0.7% to 13.2% per patient. Although there is increasing evidence that topically applied tranexamic acid (TXA) effectively reduces postoperative bleeding in breast surgeries, its impact on masculinization surgeries is understudied.</div></div><div><h3>Aims</h3><div>Examining the significance of topical TXA in reducing postoperative hematoma in chest masculinization surgeries.</div></div><div><h3>Methods</h3><div>This retrospective cohort comprises female-to-male transgender and non-binary patients who underwent chest masculinization at Helsinki or Tampere University hospitals between 2018 and 2024. Topical TXA (20 mg/ml, 25 ml per breast) was incorporated into routine use in October 2022, replacing the previous practices; Helsinki mainly operated without TXA, whereas Tampere routinely used intravenous (i.v.) TXA.</div></div><div><h3>Results</h3><div>A total of 198 patients undergoing chest masculinization surgery were included. Among them, 9 (4.5%) major hematomas occurred. The need for reoperation due to postoperative hematoma was lower in the topical TXA (3.2%, 2 out of 63 patients) and i.v. TXA (3.4%, 2 out of 58 patients) groups compared to the non-TXA group (6.5%, 5 out of 77 patients). Subpectoral incisions (71.2%, 141 patients) resulted in a 5.0% hematoma rate, whereas periareolar incisions (28.8%, 57 cases) had a 3.5% hematoma rate.</div></div><div><h3>Conclusions</h3><div>Our study suggests that topical and i.v. TXA effectively reduce postoperative bleeding in chest masculinization surgeries, with similar outcomes between the 2 methods. Albeit our results lack statistical significance and they support the potential benefit of prophylactic TXA use in hematoma reduction.</div></div>","PeriodicalId":37996,"journal":{"name":"JPRAS Open","volume":"43 ","pages":"Pages 458-469"},"PeriodicalIF":1.5,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143149932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Penetrating pressure ulcer of the lower lip caused by a tooth

IF 1.5 Q3 SURGERY

JPRAS Open

Pub Date : 2025-01-10 DOI: 10.1016/j.jpra.2025.01.003

Theresia Skytte Eriksen, Jais Oliver Berg

引用次数: 0

Regional anaesthesia-based free flap reconstruction for limb salvage in high-risk patients with refractory lower limb infections

IF 1.5 Q3 SURGERY

JPRAS Open

Pub Date : 2025-01-09 DOI: 10.1016/j.jpra.2025.01.005

Mitsutoshi Ota , Makoto Motomiya , Marie Okada , Ryo Miyashita , Naoya Watanabe , Norimasa Iwasaki

Background

Patients with severe comorbidities and refractory lower leg and foot infections face high risks from prolonged anaesthesia and complex soft tissue reconstruction. Our institution collaborates with anaesthetists to perform limb salvage using free flaps, primarily under combined spinal-epidural anaesthesia (CSE) without general anaesthesia (GA). This study aimed to evaluate the treatment outcomes of our limb salvage algorithm in high-risk patients.

Materials and methods

Between January 2020 and December 2023, we included patients with ASA class III or higher undergoing limb salvage for chronic osteomyelitis or diabetic gangrene, who desired limb preservation, had palpable main arteries and no urgent cardiovascular conditions. We investigated 12 patients with 13 limbs and 14 free flaps who underwent infection control and free flap reconstruction under CSE without GA.

Results

Among the 14 free flaps, 9 were ASA class III and 5 were class IV. The median anaesthesia time was 562 min and median surgical time was 479 min. All flap surgeries, except for one, required no vasopressor usage to control intraoperative hypotension. Partial necrosis occurred in 2 flaps, but all flaps survived. One limb with recurrent osteomyelitis required a vascularised fibula graft. No severe systemic complications were observed, and all limbs were preserved with weight-bearing function in 11 of 13 limbs (85%).

Conclusions

Our treatment algorithm using CSE without GA for severe lower limb infections demonstrates that limb salvage can be safely achieved by preventing flap necrosis and systemic complications.

{"title":"Regional anaesthesia-based free flap reconstruction for limb salvage in high-risk patients with refractory lower limb infections","authors":"Mitsutoshi Ota , Makoto Motomiya , Marie Okada , Ryo Miyashita , Naoya Watanabe , Norimasa Iwasaki","doi":"10.1016/j.jpra.2025.01.005","DOIUrl":"10.1016/j.jpra.2025.01.005","url":null,"abstract":"<div><h3>Background</h3><div>Patients with severe comorbidities and refractory lower leg and foot infections face high risks from prolonged anaesthesia and complex soft tissue reconstruction. Our institution collaborates with anaesthetists to perform limb salvage using free flaps, primarily under combined spinal-epidural anaesthesia (CSE) without general anaesthesia (GA). This study aimed to evaluate the treatment outcomes of our limb salvage algorithm in high-risk patients.</div></div><div><h3>Materials and methods</h3><div>Between January 2020 and December 2023, we included patients with ASA class III or higher undergoing limb salvage for chronic osteomyelitis or diabetic gangrene, who desired limb preservation, had palpable main arteries and no urgent cardiovascular conditions. We investigated 12 patients with 13 limbs and 14 free flaps who underwent infection control and free flap reconstruction under CSE without GA.</div></div><div><h3>Results</h3><div>Among the 14 free flaps, 9 were ASA class III and 5 were class IV. The median anaesthesia time was 562 min and median surgical time was 479 min. All flap surgeries, except for one, required no vasopressor usage to control intraoperative hypotension. Partial necrosis occurred in 2 flaps, but all flaps survived. One limb with recurrent osteomyelitis required a vascularised fibula graft. No severe systemic complications were observed, and all limbs were preserved with weight-bearing function in 11 of 13 limbs (85%).</div></div><div><h3>Conclusions</h3><div>Our treatment algorithm using CSE without GA for severe lower limb infections demonstrates that limb salvage can be safely achieved by preventing flap necrosis and systemic complications.</div></div>","PeriodicalId":37996,"journal":{"name":"JPRAS Open","volume":"43 ","pages":"Pages 406-418"},"PeriodicalIF":1.5,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143149928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comprehensive Assessment of Specific Patient-Reported Outcome Measures for Hand and Wrist Conditions in Adults: A Scoping Review

IF 1.5 Q3 SURGERY

JPRAS Open

Pub Date : 2025-01-08 DOI: 10.1016/j.jpra.2024.12.005

S. Iskander , G. Halbesma , M.M. Hoogbergen , D. Young-Afat , I.J. Veldhuizen

Purpose

This scoping review aims to assess the various patient-reported outcome measures (PROMs) specifically developed and validated for patients with hand and wrist conditions. The objective is to provide healthcare professionals with an up-to-date overview of the available PROMs, empowering them to make informed decisions in selecting the most appropriate PROM to support personalized care for their patients.

Methods

The review adhered to the PRISMA-ScR 2018 checklist and involved a systematic literature search of MEDLINE, Embase, and Cochrane CENTRAL Registry of Trials. Inclusion and exclusion criteria were established, and 2 independent reviewers screened and selected relevant articles. Data were extracted from full-text articles to identify the conditions of the hand or wrist and the PROMs used for measurement.

Results

A total of 22 PROMs for hand and wrist conditions were identified, with the Disabilities of the Arm, Shoulder, and Hand (DASH) being the most frequently employed, followed by the Patient Rated Wrist Evaluation and QuickDASH. The utilization of these PROMs was prominent in articles focusing on traumatic hand and wrist conditions, nerve conditions, and joint/arthrosis problems. Additionally, 67 articles (19.7%) employed more than one hand/wrist-specific PROM, and 8 generic PROMs were used in conjunction with hand/wrist-specific PROMs.

Conclusion

This review offers a comprehensive overview of the available PROMs to assist healthcare professionals in selecting the most suitable measure for personalized care. The growing use and development of PROMs in this field highlights their increasing relevance in enhancing patient outcomes.

Study design

Scoping Review

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引用次数: 0

Safety and efficacy of hairy scalp donors in thick split-thickness skin grafting: Healing and complications at donor sites

IF 1.5 Q3 SURGERY

JPRAS Open

Pub Date : 2024-12-19 DOI: 10.1016/j.jpra.2024.12.007

Seung Ho Lee , Suk Joon Oh , Chanho Jeong , Kunyong Sung , Jong Dae Kim , Jeong Tae Kim

Background

We aimed to investigate how the thickness of removed skin grafts affects the healing time at the donor site, with a focus on the depth of the donor wound and the normal thickness of the scalp.

Methods

We examined the outcomes of the donor sites of thick split-thickness skin grafts using hairy scalp skin in 102 Korean patients. We measured the thickness of the scalp donor skin using preoperative ultrasonography, histometric thickness of normal scalp skin in 61 patients, and histometric thickness of the thickest part of the grafted skin after surgery.

Results

The mean normal ultrasound thickness of the scalp donors was 1.711 mm, with a mean histometric normal scalp thickness of 1.926 mm (61 cases), mean dermatome depth set of 0.569 mm (22/1000 inches, 22 mils), and mean histometric harvested skin thickness of 0.677 mm. The relationship between healing time and percentage of histometric graft thickness per ultrasonographic normal scalp skin thickness was statistically significant and correlated positively. Healing of the partial portion of the scalp was delayed in 9 donors due to infection and folliculitis. Scalp donor wounds healed during postoperative days 6 and 15, except for the ones with infected portions.

Conclusion

Patients in this study successfully achieved scarless regenerative healing of their scalp donor wounds. Furthermore, adequate wound dressing can prevent alopecia and scarring of infected donor wounds. The results of this study offer valuable insights into the advantages of using scalp skin in grafts, underscoring its potential as a preferred option for achieving optimal regenerative healing.

{"title":"Safety and efficacy of hairy scalp donors in thick split-thickness skin grafting: Healing and complications at donor sites","authors":"Seung Ho Lee , Suk Joon Oh , Chanho Jeong , Kunyong Sung , Jong Dae Kim , Jeong Tae Kim","doi":"10.1016/j.jpra.2024.12.007","DOIUrl":"10.1016/j.jpra.2024.12.007","url":null,"abstract":"<div><h3>Background</h3><div>We aimed to investigate how the thickness of removed skin grafts affects the healing time at the donor site, with a focus on the depth of the donor wound and the normal thickness of the scalp.</div></div><div><h3>Methods</h3><div>We examined the outcomes of the donor sites of thick split-thickness skin grafts using hairy scalp skin in 102 Korean patients. We measured the thickness of the scalp donor skin using preoperative ultrasonography, histometric thickness of normal scalp skin in 61 patients, and histometric thickness of the thickest part of the grafted skin after surgery.</div></div><div><h3>Results</h3><div>The mean normal ultrasound thickness of the scalp donors was 1.711 mm, with a mean histometric normal scalp thickness of 1.926 mm (61 cases), mean dermatome depth set of 0.569 mm (22/1000 inches, 22 mils), and mean histometric harvested skin thickness of 0.677 mm. The relationship between healing time and percentage of histometric graft thickness per ultrasonographic normal scalp skin thickness was statistically significant and correlated positively. Healing of the partial portion of the scalp was delayed in 9 donors due to infection and folliculitis. Scalp donor wounds healed during postoperative days 6 and 15, except for the ones with infected portions.</div></div><div><h3>Conclusion</h3><div>Patients in this study successfully achieved scarless regenerative healing of their scalp donor wounds. Furthermore, adequate wound dressing can prevent alopecia and scarring of infected donor wounds. The results of this study offer valuable insights into the advantages of using scalp skin in grafts, underscoring its potential as a preferred option for achieving optimal regenerative healing.</div></div>","PeriodicalId":37996,"journal":{"name":"JPRAS Open","volume":"43 ","pages":"Pages 384-392"},"PeriodicalIF":1.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of pectoralis nerve blocks I & II with liposomal bupivacaine in patients undergoing elective breast reduction procedures: A retrospective study

IF 1.5 Q3 SURGERY

JPRAS Open

Pub Date : 2024-12-19 DOI: 10.1016/j.jpra.2024.12.006

Anup Palak Sanghvi , Ivette Klumb , Charmi Kanani , Amol Karmarkar , Michael Kazior

Background

The pectoral nerve (PECs) block I and II nerve blocks with liposomal bupivacaine (LB, Exparel) are used for postoperative analgesia in breast surgery, but evidence on efficacy for breast reduction is limited. We examined the effect of the PECS I and II blocks with LB on perioperative opioid use and pain scores compared to no block and blocks with plain local anesthetic (LA). We hypothesized that patients receiving a block with LB would require lower opioid amounts.

Methods

This retrospective cohort analysis included 120 patients undergoing breast reduction from 2011-2023. Patients received: no block, PECs block with plain LA, or PECs block with LB. Primary outcomes were intraoperative, Post-Anesthesia Care Unit (PACU), and outpatient opioid requirements. The secondary outcomes were PACU pain scores.

Results

Forty patients had no block, twenty-six received plain LA block, and fifty-four received LB block. For intraoperative opioids, LB block significantly lowered use compared to no block. PACU opioid use showed no differences between groups. For outpatient opioids, both LB and plain LA blocks significantly lowered use compared to no block. No significant pain score differences were found between groups.

Conclusions

Patients receiving the PECS block had decreased outpatient narcotic requirements compared to those patients who did not get the block. Patients receiving PECS block with LB had the further benefit of having decreased intraoperative narcotic requirements compared to the other groups. This highlights the potential benefit of performing the PECS block for patients undergoing breast reduction surgery.

{"title":"Efficacy of pectoralis nerve blocks I & II with liposomal bupivacaine in patients undergoing elective breast reduction procedures: A retrospective study","authors":"Anup Palak Sanghvi , Ivette Klumb , Charmi Kanani , Amol Karmarkar , Michael Kazior","doi":"10.1016/j.jpra.2024.12.006","DOIUrl":"10.1016/j.jpra.2024.12.006","url":null,"abstract":"<div><h3>Background</h3><div>The pectoral nerve (PECs) block I and II nerve blocks with liposomal bupivacaine (LB, Exparel) are used for postoperative analgesia in breast surgery, but evidence on efficacy for breast reduction is limited. We examined the effect of the PECS I and II blocks with LB on perioperative opioid use and pain scores compared to no block and blocks with plain local anesthetic (LA). We hypothesized that patients receiving a block with LB would require lower opioid amounts.</div></div><div><h3>Methods</h3><div>This retrospective cohort analysis included 120 patients undergoing breast reduction from 2011-2023. Patients received: no block, PECs block with plain LA, or PECs block with LB. Primary outcomes were intraoperative, Post-Anesthesia Care Unit (PACU), and outpatient opioid requirements. The secondary outcomes were PACU pain scores.</div></div><div><h3>Results</h3><div>Forty patients had no block, twenty-six received plain LA block, and fifty-four received LB block. For intraoperative opioids, LB block significantly lowered use compared to no block. PACU opioid use showed no differences between groups. For outpatient opioids, both LB and plain LA blocks significantly lowered use compared to no block. No significant pain score differences were found between groups.</div></div><div><h3>Conclusions</h3><div>Patients receiving the PECS block had decreased outpatient narcotic requirements compared to those patients who did not get the block. Patients receiving PECS block with LB had the further benefit of having decreased intraoperative narcotic requirements compared to the other groups. This highlights the potential benefit of performing the PECS block for patients undergoing breast reduction surgery.</div></div>","PeriodicalId":37996,"journal":{"name":"JPRAS Open","volume":"43 ","pages":"Pages 393-401"},"PeriodicalIF":1.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Postoperative Outcomes and Complications in Menopaused Patients after Reduction Mammoplasty

IF 1.5 Q3 SURGERY

JPRAS Open

Pub Date : 2024-12-17 DOI: 10.1016/j.jpra.2024.12.004

Edward T.C. Dong, Jérôme Martineau, Gauthier Zinner, Daniel F. Kalbermatten, Carlo M. Oranges

Background

Symptomatic macromastia is a debilitating condition that affects millions of women worldwide. Although reduction mammoplasty is the gold standard treatment, the association between estrogen levels and wound healing has been established in literature. Hence, this study aimed to compare the postoperative outcomes and complications between menopaused and non-menopaused women after reduction mammoplasty.

Method

This study offers a retrospective multimodal observation and analysis comparing menopaused and non-menopaused women. Using data collected from January 2018 to May 2024, patients who met the selection criteria were divided into 2 groups. Complications following reduction mammoplasty were recorded and analyzed.

Results

A total of 110 patients were included in this study, among them 80 patients were in the non-menopaused group and 30 in the menopaused group. Our statistical analysis indicated that the hospital stay was significantly longer in the menopaused group (P=0.008). Additionally, postoperative dog ears were significantly more frequent in the menopaused group (P=0.034). Conversely, scar hypertrophy occurred more frequently in non-menopaused patients (P=0.02).

Conclusion

Although menopaused women undergoing single or bilateral reduction mammoplasty had longer duration of hospital stay, they did not have higher risk of postoperative complications, except for higher rate of developing dog ears, which may be ascribed to the faltering estrogen levels of this population. Non-menopaused women had a higher rate of hypertrophic scars.

{"title":"Postoperative Outcomes and Complications in Menopaused Patients after Reduction Mammoplasty","authors":"Edward T.C. Dong, Jérôme Martineau, Gauthier Zinner, Daniel F. Kalbermatten, Carlo M. Oranges","doi":"10.1016/j.jpra.2024.12.004","DOIUrl":"10.1016/j.jpra.2024.12.004","url":null,"abstract":"<div><h3>Background</h3><div>Symptomatic macromastia is a debilitating condition that affects millions of women worldwide. Although reduction mammoplasty is the gold standard treatment, the association between estrogen levels and wound healing has been established in literature. Hence, this study aimed to compare the postoperative outcomes and complications between menopaused and non-menopaused women after reduction mammoplasty.</div></div><div><h3>Method</h3><div>This study offers a retrospective multimodal observation and analysis comparing menopaused and non-menopaused women. Using data collected from January 2018 to May 2024, patients who met the selection criteria were divided into 2 groups. Complications following reduction mammoplasty were recorded and analyzed.</div></div><div><h3>Results</h3><div>A total of 110 patients were included in this study, among them 80 patients were in the non-menopaused group and 30 in the menopaused group. Our statistical analysis indicated that the hospital stay was significantly longer in the menopaused group (P=0.008). Additionally, postoperative dog ears were significantly more frequent in the menopaused group (P=0.034). Conversely, scar hypertrophy occurred more frequently in non-menopaused patients (P=0.02).</div></div><div><h3>Conclusion</h3><div>Although menopaused women undergoing single or bilateral reduction mammoplasty had longer duration of hospital stay, they did not have higher risk of postoperative complications, except for higher rate of developing dog ears, which may be ascribed to the faltering estrogen levels of this population. Non-menopaused women had a higher rate of hypertrophic scars.</div></div>","PeriodicalId":37996,"journal":{"name":"JPRAS Open","volume":"43 ","pages":"Pages 366-376"},"PeriodicalIF":1.5,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0